ldcmw1

Check out Grantham University $265.00 a credit hour and if you or your spouse is prior military they give you a discount.

Our policy is wait one hour but I have never seen it done. We usually try something different after that. ldcmw

How about suggesting the cook catheter to the MD if you guys supply it on your unit.

Stick to your guns you are at the bedside. Pt was in good pattern so who cares how many mu of pitocin the patient is on!!! Have him read Cervical Ripening and Induction of Labor written By AWHONN. It is a wonderful article and it states that 90% of...

Sorry for no paragraphs! I just kept typing away in frustration! Will do better next time. I will be writing up a QI on this and I will be taking this up with the Chief OB. Mom delivered about a hour after I went home. Baby went to regular nursery a...

I worked a 12 hour shift yesterday and did c/s's until 3 pm when I picked up a patient from another nurse I was upset after getting report. The patient was a frequent flyer. 26 yrs old g5 p4 at 35 6/7 weeks admitted many times for low back pain and p...

Mrs. Ortiz - Where is the pain? Is she bleeding. Obviously she is not going to get up to ambulate yet. The dry mouth has me stumped but I thought I remember it could possibly be a side effect of having a morphine PCA. O2 Sat is still 96% and there ...

Thanks guys for all the positive feedback!!! I'm just so frustrated!

Smith sounds like she should be a one on one!!! She is sick, sick, sick!!!! Teen 1st pregnancy!!! High Risk for pre-clampsia and with blood pressure's that high she could stroke out!! Nothing is said about her lab results on admission? I have rar...

Interesting case!!! I'm curious to know what became of mom and baby and sounds like the baby had an arrythmia. I just had this happen to me a few weeks ago. We knew the baby had an arrythmia and she came up to our unit from the perinatal center to...

My question to you would be why is she on continious monitoring? Evidence based research doesn't seem to support this? I do feel sorry for her and she needs to be treated with respect and not be shuffled all over the place! At my facility once they g...

I'm curious as to who catches your baby during a c/s and do they wear a sterile gown and gloves? Does the NICU nurse do a set of vital signs on the baby? Do you do a full count at uterine closure?

Help!! I'm orienting a nurse to our labor and delivery unit who has about 6 months of experience in this area. I'm having many problems with her. She is slow, doesn't prioritize properly and seems to lack intiative. I'm constantly reminding her to ...

Where I work to use Labetalol IV they have to be hooked up to a cardiac monitor. Not the case with hydralazine. Yes, the hypertension is a symptom of the problem but it still needs to be treated! Do you want your patient to stroke out. I'm guessing a...

I was taught the same way Pitocin on the closest port. You should always always have all your fluids on a pump when running Mag Sulfate. Especially if they are on Mag for PIH! I've never worked anywhere that it hasn't been the case.

Thank!!!!

Does anybody use the cook catheter for cervical ripening? If so please tell me your results and thoughts on it? We just got it at our hospital and I'm curious as to how effective it is. I like the fact that your not giving any medication to the mo...

here is a website on the cook catheter. cervical ripening balloon the cook cervical ripening balloon offers a safe, simple method for cervical ... i. ripening of the unfavorable cervix with extraamniotic catheter balloon: ... www.cookmedical.com/wh/...

I just can't believe they insert the cytotec in the office!!! How much of a time lapse from the time they place the cytotec to when they come to the hospital to be admitted? What dosage are they using. That seems a little scary to me. Not for nursi...

Thanks, we are trying to change our policy at our hospital. The circulating nurse catches baby and then is responsible for doing all the computer charting, counts, running to get things if needed, calling for cord ph, collecting cord blood, etc. Many...

Is there anybody out there that works at a facility that uses the Stan Fetal Monitor? I would love to hear about it! Curious to know if it cuts down on assisted delivries and c/s?

So the OB brings baby over to the warmer? What about leaving the sterile field and yes I know the surgeon is doing surgery and must be gowned and gloved? Do you also do a full count at closure of the peritoneum? NICU doesn't come to every C/S? How ...

We use 25 mcg vaginally every 4 hours. Patient has to be continually monitored. Pitocin can't be started until 4 hours after the last dose. Patient doesn't have to have IV access but some docs and midwives will order it. We have to chart on fhr and...

Hello, I anybody using fentanyl for pain relief in labor? If so, how much is used. How often and does it work well? What effects do you see on the baby? Thanks, ldcmw

I work in one of the largest metropolitan areas in the country and a fairly busy labor and delivery unit. We do around 350 deliveries a month. I've worked on our unit for 12 yrs and in the 12 yrs I've worked here we have never had a nurse manager wh...